SHAWN ALLEN DOTY O.D.
NPI 1578604245
Optometrist in New Bern, NC

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
80.21/100
CMS Quality Rating
2805 VILLAGE WAY, NEW BERN, NC 28562(252) 633-0016(252) 636-3895 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shawn Allen Doty O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWN ALLEN DOTY O.D. (NPI 1578604245) is an individual optometrist in New Bern, North Carolina, licensed in North Carolina (1544) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1993).

NPPES Registry Identity

NPI1578604245
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSHAWN ALLEN DOTYCredential: O.D.
Location Address2805 VILLAGE WAYNew Bern, NC 28562-7351
Mailing Address2805 Village WayNew Bern, NC 28562-7351 · (252) 633-0016 · Fax (252) 636-3895
Fax(252) 636-3895
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1993
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 19, 2011
NPI 1578604245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NC · 1544
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2805 VILLAGE WAY, New Bern, NC 28562

Other Identifiers 4

Medicaid890923CNC
Other0923CNC · Bcbs
Medicare UPINU62015NC
Medicare PIN2470041ANC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shawn Allen Doty O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406983824
PECOS Enrollment IDI20111003000014
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,468 services20 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
2,426 services22 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
301 services269 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
193 services192 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
162 services144 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
112 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.42
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
3%70 patients1/55-star benchmark: 87%
Diabetes: Eye Exam
99%229 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
46%35 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
93%2,045 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
86%152 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%940 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2805 VILLAGE WAY
NEW BERN, NC 28562
Optometrist
2805 VILLAGE WAY
NEW BERN, NC 28562
Optometrist
2805 VILLAGE WAY
NEW BERN, NC 28562
Eyewear Supplier
2805 VILLAGE WAY
NEW BERN, NC 28562
Optometrist
2805 VILLAGE WAY
TRENT WOODS, NC 28562
Optometrist
2805 VILLAGE WAY
TRENT WOODS, NC 28562
Optometrist
2805 VILLAGE WAY
TRENT WOODS, NC 28562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawn Doty's NPI number?

The NPI number for Shawn Doty is 1578604245. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Shawn Doty located?

Shawn Doty practices at 2805 Village Way, New Bern, NC 28562. The listed phone number is (252) 633-0016.

What is Shawn Doty's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shawn Doty enrolled in Medicare?

Yes. Shawn Doty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shawn Doty accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Shawn Doty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawn Doty was last updated on August 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.